YVG-19212-70410

3 vaccinations 8 coded responses 18 check-ins 8 free-text entries 4 call cases

Sex: Female
Age at first dose: 66+
ZIP prefix: 320 / FL
Registered: 2021-02-22

Relationship: Self
Race: White
Ethnicity: Not Hispanic or Latino

Timeline

Registration Vaccinations Survey responses Call reports Cases without a report Call attempts Call successful Pregnancy survey

2021-01-25
Dose 1 — Moderna
2021-02-22
Registered in v-safe
2021-02-22
Dose 2 — Moderna
2021-02-22
Health check-in — day 0, dose 2
Feeling: Good · None

Adult check-in
2021-02-23
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities

Adult check-in
2021-02-24
Survey response — days 1–6 daily, dose 2
MedDRA: Injection site erythema, Office visit — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Large red area by injection site..saw a doctor today · Healthcare visit (other): Doctor office

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-24
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-25
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Office visit — Feeling: Good · Site: Pain, Redness, Itching · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Large red area has stayed the same size · Healthcare visit (other): Office visit..return visit on Friday

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-25
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-26
Survey response — days 1–6 daily, dose 2
MedDRA: Erythema, Office visit — Feeling: Good · Site: Redness, Itching · Get care from a doctor or other healthcare professional

Free text: Systemic reaction (other): Redness is reducing · Healthcare visit (other): Office visit follow up

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-02-26
Report sent to call center — days 1–6 daily, dose 2
Get care from a doctor or other healthcare professional

1 call case(s)
2021-02-27
Health check-in — days 1–6 daily, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-02-28
Health check-in — days 1–6 daily, dose 2
Feeling: Fair · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-01
Health check-in — day 7, dose 2
Feeling: Good · Site: Redness · Fatigue or tiredness

Adult check-in
2021-03-09
Survey response — day 14, dose 2
MedDRA: Neck pain, Pain in extremity — Feeling: Good

Free text: Muscle pain upper arm and neck of arm that had the injection

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-17
Survey response — day 21, dose 2
MedDRA: Nasopharyngitis, Pre-existing disease, Unevaluable event — Feeling: Fair

Free text: Might be a slight cold or new allergies given new work outside environment

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-22
Survey response — day 28, dose 2
MedDRA: Nasopharyngitis — Feeling: Fair

Free text: Cold symptoms

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-03-29
Health check-in — day 35, dose 2
Feeling: Good

Adult check-in
2021-04-09
Survey response — day 42, dose 2
MedDRA: Pain in extremity — Feeling: Fair

Free text: Pain in left arm where I got the vaccine is still happening on a daily basis

MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
2021-08-25
Survey response — 6 months, dose 2
MedDRA: Herpes zoster — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit

Free text: Shingles

MedDRA releases: 2021-09,2024-11 · check-in free text available
2021-08-25
Report sent to call center — 6 months, dose 2
Be unable to work or attend school · Get care from a doctor or other healthcare professional

1 call case(s)
2021-08-27
Call 1 — Left Voicemail
2021-10-26
Dose 3 — Moderna
2021-10-27
Health check-in — days 1–6 daily, dose 3
Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-29
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Site: Redness · Fatigue or tiredness, Diarrhea

Adult check-in
2021-10-31
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in
2021-11-01
Health check-in — days 1–6 daily, dose 3
Feeling: Good · Fatigue or tiredness

Adult check-in

Vaccinations

Dose	Date	Manufacturer	Co-administered
1	2021-01-25	Moderna
2	2021-02-22	Moderna
3	2021-10-26	Moderna	No

Call center

Reported	Outcome	VAERS-related outcome
2021-02-24	Unsuccessful
2021-02-25	Unsuccessful
2021-02-26	Unsuccessful
2021-08-25	Unsuccessful

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Large red area by injection site..saw a doctor today

Healthcare visit (other): Doctor office

2021-02-25

Systemic reaction (other): Large red area has stayed the same size

Healthcare visit (other): Office visit..return visit on Friday

2021-02-26

Systemic reaction (other): Redness is reducing

Healthcare visit (other): Office visit follow up

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Muscle pain upper arm and neck of arm that had the injection

Release 5 — day 21, dose 2

2021-03-17

Symptoms: Might be a slight cold or new allergies given new work outside environment

Release 6 — day 28, dose 2

2021-03-22

Symptoms: Cold symptoms

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Pain in left arm where I got the vaccine is still happening on a daily basis

Release 9 — 6 months, dose 2

2021-08-25

Symptoms: Shingles

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

Field	Preferred term	2021-09	2023-04	2024-11
HCVO	Office visit	✓	✓	✓
SD	Herpes zoster	✓	·	✓
SD	Nasopharyngitis	✓	✓	✓
SD	Neck pain	✓	✓	✓
SD	Pain in extremity	✓	✓	✓
SD	Pre-existing disease	✓	✓	○
SD	Unevaluable event	·	·	✓
SRO	Erythema	✓	✓	✓
SRO	Injection site erythema	✓	✓	✓

✓ active code · ○ coded but marked inactive · blank = not in that release